BedsideNotes: Engaging families to improve pediatric safety

项目摘要/摘要 这项职业发展提案将为儿科医院医生米歇尔·凯利博士提供 威斯康星大学医学院和公共卫生学院，需要以下培训和指导 成功地成为一名独立的医生-科学家，利用工具和技术支持家庭 参与改善住院儿童护理的质量和安全。凯利博士一直支持这些努力 促进家庭参与，包括重新设计医院查房以包括家庭和实施 床边门户-一个在线应用程序，允许家庭访问他们孩子的部分住院医疗记录。 她获得了临床研究硕士学位，以培养进行文献回顾、分析 量化数据，设计临床和转化性研究。在此基础上，她提出了 K08职业发展计划注重三个知识缺口：定性方法，以人为本的设计 支持卫生交流和扫盲的干预措施，以及系统干预措施的实施和 评估。利用该奖项提供的受保护的课程作业时间，参加国家会议 和有指导的研究，凯利博士将获得开发和传播医疗保健所需的关键技能 干预措施。在她提议的研究计划中，她将开发Bedside Notes作为一种模型干预和 实施捆绑包。该捆绑包将包括扩展床边门户，以共享住院医生的 录取和进展说明，包括家庭和补充执行战略，以提供最佳支持 家庭参与，同时减轻意想不到的负面后果。她将使用以下工具开发此捆绑包 这些目标：1)确定家庭和临床医生对障碍、促进者和战略的看法，以分享住院患者 医生笔记；2)制定Bedside Notes设计要求；3)实施和评估可行性 Bedside Notes在一项针对住院儿童家庭的初步研究中的初步效果。这项建议 研究直接响应NOT-HS-13-011并涉及多个研究领域，包括卫生IT设计 和实施，并将提供描述卫生信息技术的使用和对家庭的影响的初步数据 参与度和患者安全结果。作为一家拥有广泛研究基础设施的机构的教员， 凯利处于一个理想的环境中，可以完成这项拟议的研究并进行高级培训。她的事业 发展计划包括受保护的课程作业时间和来自以下领域专家团队的指导 人的因素和系统工程、患者安全、定性方法、健康沟通/扫盲、 儿科伦理和卫生信息技术干预的设计、实施、评估和传播。在…的末尾 在这个项目中，凯利博士将拥有支持竞争性R01提案所需的初步数据 她将测试这种干预是否会改善家庭参与度和安全问题报告。这个K08 获奖还将使她实现独立领导计划的目标，利用工具和 改善住院儿童护理安全的技术，这是AHRQ优先考虑的人群。

PROJECT SUMMARY/ABSTRACT This career development proposal will provide Dr. Michelle Kelly, a Pediatric Hospitalist Physician at the University of Wisconsin School of Medicine and Public Health, with the training and mentorship required for success as an independent, physician-scientist leveraging tools and technologies supporting family engagement to improve the quality and safety of care of hospitalized children. Dr. Kelly has championed efforts to promote family engagement, including redesigning hospital rounds to include families and implementing a bedside portal – an online application giving families’ access to parts of their child’s inpatient medical record. She has attained an MS in Clinical Investigation to develop skills in conducting literature reviews, analyzing quantitative data, and designing clinical and translational studies. Building on this foundation, her proposed K08 career development plan focuses on three knowledge gaps: qualitative methods, human-centered design of interventions to support health communication and literacy, and systematic intervention implementation and evaluation. With the protected time afforded by this award for coursework, participation in national meetings and mentored research, Dr. Kelly will attain the critical skills necessary to develop and disseminate healthcare interventions. In her proposed research plan, she will develop BedsideNotes as a model intervention and implementation bundle. This bundle will consist of expanding the bedside portal to share inpatient doctors’ admission and progress notes with families and complementary implementation strategies to optimally support family engagement while mitigating unintended negative consequences. She will develop this bundle using these aims: 1) identify family and clinician perspectives of barriers, facilitators and strategies to share inpatient doctors’ notes; 2) develop BedsideNotes design requirements; and 3) implement and evaluate the feasibility and preliminary efficacy of BedsideNotes in a pilot study with families of hospitalized children. This proposed study responds directly to NOT-HS-13-011 and addresses multiple research areas, including health IT design and implementation, and will provide preliminary data describing the use and impact of health IT on family engagement and patient safety outcomes. As faculty at an institution with extensive research infrastructure, Dr. Kelly is in an ideal environment to complete this proposed research and pursue advanced training. Her career development plan includes protected time for coursework and mentorship from a committed team of experts in human factors and systems engineering, patient safety, qualitative methods, health communication/literacy, pediatric ethics, and health IT intervention design, implementation, evaluation and dissemination. At the end of this project, Dr. Kelly will have the preliminary data necessary to support a competitive R01 proposal in which she will test whether this intervention improves family engagement and safety concern reporting. This K08 award will also allow her to achieve her goal of independently leading a program leveraging tools and technologies to improve the safety of care of hospitalized children, an AHRQ priority population.